高血压预防和血压控制的知识,态度和实践的改善之间的关联-一个集群随机对照研究
Zhen Hu1, Xin Wang1, Congyi Zheng1
1Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China.
American journal of health promotion : AJHP
|April 13, 2024
概括
工作场所的干预改善了员工的高血压知识,态度和实践 (KAP). 增强的KAP显著与更好的血压控制有关,证明了该计划的有效性.
科学领域:
- 职业健康 职业健康 职业健康
- 预防心血管疾病 预防心血管疾病
- 公共卫生干预 公共卫生干预
背景情况:
- 高血压知识,态度和实践 (KAP) 影响患者的意识,治疗和控制.
- 在职业人口中,对高血压预防性KAP变化和血压 (BP) 控制的纵向数据很少.
- 工作场所干预对于在职人员管理高血压至关重要.
研究的目的:
- 评估基于工作场所的多元组件高血压干预计划的有效性.
- 评估干预措施对改善高血压预防KAP水平的影响.
- 为了确定KAP和BP控制的改进之间的关联.
主要方法:
- 一项为期2年的集群随机对照试验,涉及中国20个城市地区3331名参与者.
- 干预组接受了多元组件计划;对照组没有.
- 预防高血压的KAP和BP在干预前和后进行了评估.
主要成果:
- 与对照组 (50.1%) 相比,干预组的KAP合格率 (63.2%) 显著更高.
- 每增加1分的KAP分数,KAP的改善与缩血压 (SBP) 降低0.28 mmHg和腹缩血压 (DBP) 降低0.14 mmHg有关.
- 特定的子组,包括手工劳动者和私人/国有企业的工人,在KAP改善后显示出显著的BP降低.
结论:
- 基于工作场所的多组件高血压干预措施有效地提高了员工的高血压预防KAP.
- 提高KAP显著与员工更好的血压控制有关.
- 针对性的工作场所干预可以成为职业环境中高血压管理的有价值策略.
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